Before T-System – Physicians dictating patient charts

The ED was already performing well with efficient throughput times, a high core measures compliance rate and solid patient satisfaction scores. However, with the high cost of dictation, declining reimbursement rates and the push for electronic documentation, Brockton’s ED began looking for a physician EHR that wouldn’t set back their performance.

ED throughput remained steady with a slight improvement

Even with a slight increase in patient volume, Brockton’s LWBS stayed at just under one percent.

Overall length-of-stay decreased by 10 minutes to 188 minutes.

Press Ganey scores remained in the 99th percentile.

ED professional reimbursement improved significantly

Increased annual ED physician revenue by $1.2 million due to a more normalized charge distribution and less under-coding – level 5 charges increased by 82 percent and level 3 charges decreased by 21 percent.

Eliminated high-cost annual dictation expenses of $120,000.

Increased ED observation net revenue by another $600,000.

“Our institution has not yet adopted the T for nursing, hopefully that will come. The business model is strong and the safety and throughput issues are even stronger.”